| Doctor Name: | DR. RICHARD JOSEPH BUKOSKY |
| NPI Number: | 1013919141 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M D |
| License Number: | MA02113000 |
| Business Practice Address: | 926 N Wood Ave Linden, NJ - 07036 |
| Business Phone Number: | 9089253318 |
| Business Fax Number: | 9089258646 |
| Mailing Address: | 926 N Wood Ave, LINDEN |
| State: | NJ |
| Postal Code: | 07036 |
| Phone Number: | 9089253318 |
| Fax Number: | 9089258646 |
| NPI Enumeration Date: | 08/10/2005 |
| NPI Last Update Date: | 08/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | MA02113000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |